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ORIGINAL
FEDERAL REPUBLIC OF NIGERIA
NATIONAL POPULATIONS COMMISSION
Certificate of Birth
Issued under the Birth and Deaths Act (Compulsory Registration) Decree 69 of 1992
Registration Center
Town/village
L.G.A
State
Certificate Number
This is to certify that the birth details of which are recorded herein has been registered on
at this registration Center
1. Full Name
2. Sex
3. Date of Birth //
4. Place of Birth
5. Full Name of Father
(Surname First)
6. Full Name of Mother
(Surname First)
Place of Birth
Date
Name of Registrar
Signature of Registrar
NATIONAL REGISTRATION PROGRAM
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